High Cholesterol
For adults 20 and older, a total cholesterol exam in the form of a simple blood test can assess your risk of heart disease.
Do it: Annually if your LDL, or "bad," cholesterol measures more than 130. If it's lower, get tested every five years.
Under/Over-Active Thyroid
An underactive thyroid, also measured via blood test, can lead to weight gain; an overactive thyroid can indicate an autoimmune disease.
Do it: Every two years if you're over 35 or show symptoms.
Chlamydia and Gonorrhea
Screenings for these STDs, which can cause pelvic inflammatory disease, are done with a cervical swab.
Do it: Annually if you're under 25 and sexually active, or older with multiple partners
HPV
The new HPV DNA test is used to detect the sexually transmitted infection in women over 30. It is performed on the same specimen taken at the time of your Pap smear.
Do it: Talk to your doctor about setting up a testing schedule.
Blood Pressure
It can be an early indicator of heart disease and kidney failure, and is sussed out with a sphygmomanometer (that pump-and-arm-cuff device).
Do it: Every two years if your readings are normal, or every year if they're abnormal.
Showing posts with label heakth tests. Show all posts
Showing posts with label heakth tests. Show all posts
Friday, May 14, 2010
Tuesday, May 11, 2010
The Tests Women Really Need [part2]
Breast Self-Exams
These are fast and free, and the USPSTF's recommendation against teaching them has caused a big-time brouhaha. The group argues that self-exams have not been proved to reduce cancer-related deaths, though no conclusive study has been done in the United States. Most doctors say not to quit altogether. "Women often discover their own cancers," says Runowicz . "So if you're not going to panic about every lump — and if you're young and menstruating, there will be lumps — there's little downside to doing self-exams."
Most lumps in younger women are caused by benign cysts, but there are no absolutes. "I've evaluated women as young as 22 who were diagnosed with breast cancer and found the abnormality while doing a breast self-exam," says Sandhya Pruthi, M.D., director of the breast clinic at the Mayo Clinic Cancer Center. "If we'd told them 'Don't touch your breasts,' a lump that was cancerous may have been detected at a much later stage."
The bottom line: Become familiar with the normal changes of your breasts by examining them monthly, in the days just after your period. For instructions, visit cancer.org.
Pap Smears
ACOG now says that women should get their first Pap smear, a screener for cervical cancer, at age 21, with follow-up tests every other year until they turn 30; women over 30 who have had three consecutive "normal" results can then wait three years between tests. The group points to studies showing that only 0.1 percent of cervical cancer cases occur in women under 21, but that does little to ease big fears that the killer disease could grow undetected between spaced-out exams.
The bottom line: "It's all about risk," says Celeste Robb-Nicholson, M.D., associate chief of general medicine at Massachusetts General Hospital. "A healthy woman who is HPV negative and is either not sexually active or has just one partner can be screened every three years. Women who have risk factors — such as smoking and having multiple partners — should be screened annually."
These are fast and free, and the USPSTF's recommendation against teaching them has caused a big-time brouhaha. The group argues that self-exams have not been proved to reduce cancer-related deaths, though no conclusive study has been done in the United States. Most doctors say not to quit altogether. "Women often discover their own cancers," says Runowicz . "So if you're not going to panic about every lump — and if you're young and menstruating, there will be lumps — there's little downside to doing self-exams."
Most lumps in younger women are caused by benign cysts, but there are no absolutes. "I've evaluated women as young as 22 who were diagnosed with breast cancer and found the abnormality while doing a breast self-exam," says Sandhya Pruthi, M.D., director of the breast clinic at the Mayo Clinic Cancer Center. "If we'd told them 'Don't touch your breasts,' a lump that was cancerous may have been detected at a much later stage."
The bottom line: Become familiar with the normal changes of your breasts by examining them monthly, in the days just after your period. For instructions, visit cancer.org.
Pap Smears
ACOG now says that women should get their first Pap smear, a screener for cervical cancer, at age 21, with follow-up tests every other year until they turn 30; women over 30 who have had three consecutive "normal" results can then wait three years between tests. The group points to studies showing that only 0.1 percent of cervical cancer cases occur in women under 21, but that does little to ease big fears that the killer disease could grow undetected between spaced-out exams.
The bottom line: "It's all about risk," says Celeste Robb-Nicholson, M.D., associate chief of general medicine at Massachusetts General Hospital. "A healthy woman who is HPV negative and is either not sexually active or has just one partner can be screened every three years. Women who have risk factors — such as smoking and having multiple partners — should be screened annually."
Sunday, May 9, 2010
The Tests Women Really Need [part1]
The path to early detection of cancer used to be clear: You have your annual Pap first time after starting to have sex, and its inaugural annual mammogram at age 40 - also doing a breast self-exams. But recently, the American College of Obstetricians and Gynecologists (ACOG) and the U.S. Preventive Services Task Force (USPSTF) issued new recommendations of the evidence, not to postpone the initial trials and waiting longer between screenings, which unleashed a firestorm of controversy.
Why the sudden change? Both groups changed their positions after studying the evidence that less frequent testing may be as effective in the diagnosis of cancer, and that would cost less and deny unnecessary follow-ups. Most physicians, however, according to a one-size-fits-all exam schedule and the stress is critical for women to always have frank discussions with their gynecologists. (This adventure that we had last year in Las Vegas? His "social smoking" habit? Stroke.) Your MD will help you design a customized calendar, but you should start with the following tips.
Mammograms
The American Cancer Society has long held that women should have their first annual mammogram at age 40, but the USPSTF now says most don't need them until they turn 50
The reasoning? Younger, denser breasts are more likely to produce benign cysts, and aggressive testing on innocent lumps is expensive and unnecessary. But some doctors are sticking with earlier screenings until studies prove that fewer exams won't equal higher fatalities, says Carolyn Runowicz, M.D., director of the Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut. "Everyone agrees that mammography reduces mortality in women over 40," she explains. Still, she adds, "It's key to understand that mammograms are effective, but they're not perfect." They can miss cancers or "overread" some benign changes.
The bottom line: Get tested annually starting at age 40, or earlier if you have a family history of breast cancer. Start screenings 10 years earlier than the age of your relative at the time of her diagnosis (so if your mom was diagnosed at age 42, for example, you should have your first mammogram at 32).
Why the sudden change? Both groups changed their positions after studying the evidence that less frequent testing may be as effective in the diagnosis of cancer, and that would cost less and deny unnecessary follow-ups. Most physicians, however, according to a one-size-fits-all exam schedule and the stress is critical for women to always have frank discussions with their gynecologists. (This adventure that we had last year in Las Vegas? His "social smoking" habit? Stroke.) Your MD will help you design a customized calendar, but you should start with the following tips.
Mammograms
The American Cancer Society has long held that women should have their first annual mammogram at age 40, but the USPSTF now says most don't need them until they turn 50
The reasoning? Younger, denser breasts are more likely to produce benign cysts, and aggressive testing on innocent lumps is expensive and unnecessary. But some doctors are sticking with earlier screenings until studies prove that fewer exams won't equal higher fatalities, says Carolyn Runowicz, M.D., director of the Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut. "Everyone agrees that mammography reduces mortality in women over 40," she explains. Still, she adds, "It's key to understand that mammograms are effective, but they're not perfect." They can miss cancers or "overread" some benign changes.
The bottom line: Get tested annually starting at age 40, or earlier if you have a family history of breast cancer. Start screenings 10 years earlier than the age of your relative at the time of her diagnosis (so if your mom was diagnosed at age 42, for example, you should have your first mammogram at 32).
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